Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jisu Lee

Individual provider Critical Care Medicine Registered Nurse · NPI 1790679066

Jisu Lee is a Critical Care Medicine Registered Nurse in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

3013 Oak Green Ct Apt A
Ellicott City, MD 21043-3522
Phone: (240) 869-9213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence R255018 (MD)

Record details

NPI number1790679066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address3013 Oak Green Ct Apt A, Ellicott City, MD 21043-3522

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